Member Support Representative

Centene Corporation; City of Utica (NY); On-site; USD 27,000 - 45,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Remote/hybrid/office options

Job summary

Centene Corporation in Utica, NY seeks a customer-focused enrollment support professional to aid Fidelis and Wellcare members with Medicaid and Medicare enrollment. The role requires product knowledge, outreach, and strong communication to ensure member satisfaction and retention.

Ideal candidates have 1+ years in marketing, sales, or community relations, with healthcare experience preferred. Bilingual English/Spanish or Cantonese/Mandarin is welcome; NY license within 60 days is required.

Qualifications

• High school diploma or GED required; 1+ year marketing, sales or community relations experience.
• Healthcare experience with Medicare/Medicaid preferred; bilingual English/Spanish strongly preferred.
• License to practice as a Health Agent in NY within 60 days; valid driver's license required.

Responsibilities

• Identify prospective enrollees and determine eligibility for the Advantage Medicare product.
• Assist members in accessing health care, transportation, and other services as needed.
• Explain Fidelis and Wellcare programs and answer questions about enrollment.
• Document interactions in Salesforce and other systems accurately.
• Conduct outreach to educate members on Wellcare products and coordinate with departments.

Skills

Customer service

Sales experience

Community engagement

Bilingual (English/Spanish)

Spanish language

CRM experience

Education

High School Diploma or GED

Tools

Salesforce

CRM systems

Job description

Position Purpose: Provides comprehensive support to Fidelis and Wellcare members by addressing inquiries, conducting outreach, and assisting with enrollment in various health plans, including Medicaid, Medicare, and other Fidelis Care products. This role requires in-depth product knowledge, consultative selling, and the ability to facilitate access to services to ensure member satisfaction and retention.

Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Candidate must reside in the greater Utica, NY area. Bilingual; Spanish is highly preferred. Experience with Medicare / Medicaid sales and community engagement is highly preferred.

• Understands the covered benefits, non-covered benefits, exclusions and exemptions
• Identifies prospective enrollees and determines eligibility for participation in the Advantage Medicare product
• Assists members in accessing health care, transportation needs and other services or issues as they occur and pertain to members
• Answers application and service-related questions about Fidelis and Wellcare programs, helping to maintain and attract membership
• Researches, analyzes, and documents member inquiries regarding program eligibility
• Conducts outreach and follow-up calls to educate members on Wellcare products, acting as a liaison between members and various Fidelis and Wellcare departments
• Accurately documents all interactions in Salesforce and other relevant systems
• Gains and maintains thorough knowledge of Fidelis Care products, including options available through the New York State of Health (NYSOH), Medicaid Managed Care, Child Health Plus, Medicare, MLTC, FIDA, and HARP
• Attends and participates in sales meetings, training programs, conventions, and special events
• Performs other duties as assigned
• Complies with all policies and standards

Education/Experience: High School Diploma , GED or equivalent required 1+ years marketing, sales or community relations experience, customer service including previous experience, in Healthcare preferably Medicare and/or Medicaid required

Bilingual English/Spanish/Cantonese or Mandarin preferred: Specific language skills by some plans may be required

State Accident and Health Insurance Agent License within 60 Days required: Current state driver's license Upon Hire requiredPay Range: $19.43 - $32.98 per hour

At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that impact real every day. You'll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It's work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act